What is the solution of the mess of Indian healthcare ( collected from facebook page of Dr Dushayant khedekar)

Bohr Committee advised for Indian Medical Services, in line of Indian Administrative services in year 1948 . After that many Committees were formed on same subject but recommendations not implemented.

It is high time that government should immediately nationalise healthcare services in India.

Till 1990 it was mainly government hospitals which were providing healthcare services to masses & there were very few private hospitals. In city of Delhi in name of private care, we had only three – four trust run charitable hospitals like Moolchand Hospital, Saint Stephen Hospital, Holy Family Hospital & Sir Ganga Ram Hospital.

In that era everyone including politicians & bureaucrats used to go to government hospitals for healthcare needs.

Then something suddenly changed, Corporate hospitals entered into scene. We became confused between socialism & capitalism. Our government started running away from its responsibility of providing quality free education & free healthcare to masses. It led to growth of big Corporate hospitals .

Our governments encouraged growth of private healthcare by neglecting government hospitals & our neighbourhood dispensaries & health centres. Government stopped investing in healthcare & our centres of excellence started coming under stress & deteriorating.

Population kept on growing but proportionate increase in government hospital beds were not made. Staffing was not increased, infrastructure was not upgraded. Government hospitals started being identified as poorly managed & equipped facilities, where even poorest is scared to go .

With liberalisation of Indian economy, we tilted towards becoming a capitalist society, everything is opened to private sector. Here began the entry of Corporates in healthcare, which stepped in to fill the vacuum created by failing & falling standards of government healthcare infrastructure to fulfil the health need & aspirations of quality conscious new rich or affording class.

Till now as we were getting free or subsidised healthcare, we didn’t realise that healthcare is an expensive affair. Our policy makers were aware that is why they had stopped investing on new technologies. New technologies were very expensive & most machines are imported & hence we started feeling the pinch.
Corporate hospitals brought best technologies & expertise to India but it was very expensive and was affordable for only a very few. We became confused, we wanted those best treatments but they were beyond our affordability, it started creating frustration among us . We are in catch 22 situation, we are not ready to go to government hospitals but finding it difficult to afford private healthcare. We wanted five star facilities in hospitals, while it was beyond our means.

Land for many charitable hospitals, slowly & steadily was taken over by Corporate Hospitals & Hospitals like Moolchand, Jessa Ram, G M Modi also became Corporate. Government allowed it in collusion & this option is also taken away from us . We were cornered, government hospitals were not upto standards & unwillingly we were forced to go to Corporate Hospitals.

Health insurance started growing with this new opportunity & we were forced to purchase healthcare policies & additional burden was added to our house hold budget. Now with cashless health care insurance, a cartel started forming, which resisted entry of new hospitals into cashless healthcare networks . This cartel is so strong that in last few years, very few new hospitals have been empaneled by public sector health insurance companies for cashless healthcare services by forming a cartel called GIPSA. Insurance companies along with select hospitals started dictating, which hospitals to go , we started being deprived of free choice to select our hospital & insurance companies started forcing hospitals on us. Government is well aware of this.

Under the confidence of our cashless healthcare policies, we started visiting five star hospitals, for each & every medical problem. Now in serious illnesses our bills started exceeding our insurance limit & we were disturbed & became angry. Yes, that five star hospital was beyond our means & capacity but sometime we were forced by our insurer or sometime we selected them as we wanted the best medical services.

Now a very tricky situation has been created in this country. Government healthcare infrastructure is failing us but 5 star healthcare is not affordable.
To further deteriorate situation, our government started giving panels for government schemes like CGHS & Delhi Health Scheme also, to private & Corporate Hospitals. Now government officials & politicians also dejected government hospitals. Corporate Hospitals handled the whole load due to efficiency of services & better management. These hospitals provided care to affording general public, government panels beneficiaries as well foreign medical tourists. As our law makers & bureaucrats also started going to private hospitals on tax payers money, government hospitals further deteriorated. Now even poorest among the poorest don’t want to go to government hospitals.
Government played another smart trick, instead of strengthening government healthcare infrastructure, which was not cost effective, asked private hospitals to reserve beds for EWS. Public didn’t realise that cost of those bed is also being added to bill of affording patients.

Now situation is, government is running away from its responsibility of providing free healthcare of quality to masses. On surface it shows that it is concerned about public but on the other hand , actually responsible for mess. Small healthcare establishments are being destroyed to create monopoly & hegemony of Corporates . Such rules & conditions are being put, which will lead to closure of all small clinics & nursing homes. There is a big conspiracy & we all need to understand. Tomorrow there will be very few hospitals, which will be providing you cashless healthcare as IRDA in collusion with big Corporates , is making NABH accreditation compulsory for hospital empanelment for cashless insurance. Quality is a facade as there are already Hospitals & NH Registration Acts & CEA, this NABH gimmick is to further marginalise small healthcare establishments & increases their cost of running.

Now I request everyone to understand this whole game, come on streets, before it becomes too late. Demand from government to own up responsibility & immediately implement Indian Medical Services on line of IAS.
Nationalise Indian healthcare & stop running away form its responsibility of providing quality healthcare to masses, free of cost. Government should stop playing a double game of encouraging Corporates & also blaming Private providers , while actually promoting them from behind.

Dear friends, like public, doctors are also at receiving end. Profession is under stress. Corporates are turning doctors into slaves, taking away their autonomy. Healthcare is expensive that is why government is not spending on it . Doctors pay commercial property tax, water & electricity. Huge tax on equipments . Running private practices, fulfilling cost aspirations of public is becoming almost impossible, in current scenario.

Country needs good doctors & excellent health services also. Doctors can’t provide it at cheap rate because it doesn’t come cheap. Like every product, services also have cost but it looks that cost is unaffordable for most of us.

Insurance companies have also failed us.
We need nationalisation of Health Care Services, so that public continue to get world class healthcare & good doctors. Current environment is not very encouraging to select medicine as a career because of very few government jobs , exploitation by Corporates, difficult laws creating hindrance in starting small establishments & non affordability by masses of private healthcare.

Indian Medical Services, will create a proper environment for growth of medical profession as well as Indian healthcare sector.

Please make it a revolution & demand that government should nationalise Indian healthcare & guarantee free, quality healthcare to all citizens of India. This environment of distrust between general public & Medical profession should end. Nation needs its doctors, they’re the best lot.

Hope everyone will introspect & will force government to own up its responsibility towards public, regarding free healthcare.

Advertisements

This is how a conman defrauding your Bank account connected to Aadhar

The caller first asks the victim for their Aadhaar number and then tells them this is a verification call from Unique Identification Authority. The caller then asks them to reveal the code sent to their registered phone number from Unique Identification Authority of India to complete the verification process.
The conman starts a very different process at his end. In this process, the conman uses the OTP to change the phone number linked to the victim’s Aadhaar number on the website. Now, after the change the new mobile phone no connected to this adhar is in the possession of the conman.

The conman’s next step is to download a popular United Payment Interface-supported application, which automatically detects Aadhaar number linked to the SIM card of the phone in which the banking application is installed. At the end of this operation, the conman has access to the victim’s bank account and can initiate banking transactions to remove money.

HIGH QUALITY ON-LINE EDUCATION FROM WORLD CLASS UNIVERSITIES HARVARD/MIT AT THE COST OF A FEW LUNCH PACKETS!!!!!!!!!

Education is one of the primary needs of human being in society. Mahatma Gandhi once told the only sin in this world is ignorance. It is not difficult to understand and realise the truth of it. An uneducated man is afflicted with all sorts of ills, and net result is that he cannot live and let live effectively. Lack of education jeopardise his own existence, as well as the existence of the society. In an uneducated environment, there is hunger, ill health, joblessness and perennial poverty—all the essentials for a bad quality life.

As for example, Europe is highly educated, their standard of living, and life expectancy is high. People of Asia and Africa is poorly educated responsible for their sub-standard living, less life expectancy, terrorism etc etc…..inside India, Kerala is highest in education and the result is that all indicators of  high quality living is highest for them. In case of Bihar and MP, education is poor and the net result is  that they live a poor quality life.

Education is important, but unfortunately, one has to spend money to get education. A part of the expenditure is borne by the Govt, the rest, by the student. Basic infrastructure for education is the responsibility of Govt of the country. Developed countries of Europe and present day China afford to spend a respectable % of their GDP on education, underdeveloped countries and India spend less than 1% on education.

In our country as a rule conscious parents struggle hard to arrange money for their wards’ education, often by curtailing essential expenditures of life. These poor people know that education is costly, but ignorance is costlier in terms of the price they have to pay all through the later life because of ignorance. Parents frantically pledge everything to get their wards educated, and the teaching community out for money earning, mercilessly exploit parents’ desperateness for educating.

In this corrupt country, schools do not teach, students throng to coaching classes and parents have to pay hefty fees. Most of the parents cannot pay this fee in a normal way, they have to sell land and other belongings to fund the expenditures due to education. Coaching classes mushroom throughout the country, it has become a big business. Teachers has forgotten to become Gurus of our tradition, they are selfish business men out to amass fortune in a short time capitalising on the student. In this whirlpool parents gasps for breath, they have to make a lone fight with none around to rescue them.

In this bleak environment, digitisation brought in a good hope. Many computer applications have come up, and available in you tube dishing out very rich learning material. Some are free, others are paid but cheap like Biju’s. This apart, many teachers from around the world publishes independent lectures on every topics in their unique ways in you tube, and what is most important, those are mostly free. Those are very systematic videos teaching every topics in every subjects in a colourful audio-visual way. Same topics is delivered differently by different people, which can be played multiple times in their convenient space and time to learn the subjects. Never before access to education was so easy, I feel envy for them considering my time when I grew up struggling, my father unable to support my education.

One such application is KHAN’S ACADEMY and is available free throughout the world in the net, for classes from class I to Graduation in many subjects. The creator is Salman Khan, an American Bengali, he himself with a few most outstanding professors took part in making and publishing the said videos. Presentation is so careful and meticulous that material is understood well by the students. In contrast, what is delivered in lesser standard schools or coaching classes charging high fees are much inferior, yet Khan is free, only thing is that many are not aware of this cheap way of high quality learning.

Children of Bill Gates have also learnt from this source, and appreciated the course material. One more important thing about Khan is that while our Indian system in howsoever perfect manner education is imparted, unknowingly drifts to rote learning, Khan focuses on comprehension only. If you are a parent encourage your children or any other self-motivating students of neighbourhood to use this learning material, by this you can save them spending their money on coaching classes.

There is another opportunity open to aspiring students to educate themselves sitting at home, is EDX–founded by Harvard University and MIT in 2012, edX is an online learning destination and MOOC provider, offering high-quality courses from the world’s best universities and institutions ( more than 90 partners) to learners everywhere. Students come from every country in the world.  Whether one is interested in computer science, languages, engineering, psychology, writing, electronics, biology, or marketing, EDX have the course for you.  EDX is the only leading MOOC provider that is both non-profit and open source. Some details about EDX–

Schools and Partners

EdX offers the highest quality courses from institutions who share their commitment to excellence in teaching and learning.

  • 1,700 +

courses in subjects such as humanities, math, computer science

  • 12 Million +

learners worldwide, representing every country

  • 35 Million +

enrollments across edX courses

HENCEFORTH NOBODY WILL LISTEN TO YOUR EXCUSE THAT BECAUSE OF LACK OF OPPORTUNITIES YOU COULD NOT BE EDUCATED.

 

Introduce artificial intelligence in public service in India in a wide scale.

 

ai 1

Sometime back there was a news report that railways will use artificial intelligence henceforth in signalling– this will reduce accidents, improve punctuality in the running of trains. I welcome it because as per the report, accidents in the railways occur due to human factor mostly, and application of AI will naturally reduce the accidents effectively. It is true that introducing AI will create unemployment—still I welcome it. Every accident causes loss of valuable human life and property, and application of AI will save those.  As at present, so many families lose their bread earners, so many are maimed for life every year just because train accidents keep happening due to human inefficiency.

Not alone railways, every department of the Govt should introduce AI. As is now, whether it is railways, Banks, post office, hospitals, municipalities, every department of Govt work inefficiently, causing harassment to tax paying public to whom the country ultimately belongs. There are many reasons for it, staff working there are largely ill-educated people produced by our inefficient education system. Off the cuff ,just remember your last visit in any of those offices for availing service for which those were created, what you have seen? Most probably, staff was away from their seats/ counter or did not present themselves in the counter timely, or were ill-educated, could not communicate well, write well or calculate well, in summary, staff employed there did not rise to your expectation, or to as demanded by the duties they are paid for. Result is that public suffer. Not only this, in every step there is corruption, unless you pay them bribe they won’t work. This is not any new revelation, every citizen of the country have experienced these harassment hundreds of times. The best is to remove whole clerical and lower staff who constitute the bulk as at present, and in their place put artificial intelligence to do their job. AI will do this job in high volume, meticulously, punctually at a much lesser cost. None will be there to ask for bribe. Net effect is that public of the country will be served better.

Another field where AI can be applied is healthcare. There is a perennial shortage of doctor and para medical staff in our country inhabited by 130 crore people. In the village in public health centres there are no doctors, in hospitals patients are overcrowded without enough doctors. People suffer mostly from common diseases, having same symptoms, requiring same medicine—based on these an algorithm can be developed, which may  produce a software for diagnose disease and prescribe medicine. Patients can be treated from the computer. This will reduce the required number of doctors. In fact, some application of AI is already there. A great benefit is that human errors also can be removed.

True, this will create unemployment, but one thing is sure citizens will get hassle free public service in an efficient manner, patients will be getting proper healthcare timely at least cost in a corruption free environment. If all these create unemployment, so be it.

This shift to AI in large scale will create increase of revenue income for the Govt, and with this Govt may ensure minimum universal basic income for our citizens through social security system. And the time saved from repetitive boring work, our people will live a quality life with quality rest. Therefore, it is advisable that artificial intelligence may be introduced in a wide scale. America and china are already using AI in offices and industries, when India also begin using it India will be competitive to them which India has not been so far.

AT 66 I RESENT MY LOOK WITHOUT TEETH

People resent growing old. I also resent, but in my particular case, mostly it is restricted to loss of my front teeth, loss of teeth gives one an ugly look which I really resent but having no way out I reconcile to the loss. Other wear and tear of age I have accepted, and do not resent. My hairs are mostly grey, I sport it proudly as I consider this as a mark of wisdom. My skin at this age of 67 has become loose, and soon it will be sagging, but still it is OK with me. Last 10 years I am everybody’s uncle on the road, and people generally respect me as a senior in age should generally command from around. In trains and buses in Mumbai, people offer me their seats in deference of my age. All in all my aging does not dipress me except that loss of my front row of teeth. True, I have artificial teeth to fill the empty gateway in my mouth but often I forget to put those on. Overall, there is a dryness in my look, contrasted with the flowing glamor that I used to have in my young age. This also depress me a bit. Most of the loss that I have just mentioned here is compensated by my habit of reading, internet surfing, endless capacity of talking to friends and writing my blog. Most of the time my sparkling pleasures that I get, supersedes any blues that occur to me due to the losses in looks in this old age.

None the less, there is a feeling of loss due to the weakening of the functional parts of the body due to aging. One after other organs of the body is weakening. The loss is gradual, but irreversible. First physical loss was impairment of  eye-sight which  I had at  the age of 17 , before my final school leaving exam. At that time I could not see distant objects clearly– those appeared to me as blurred pictures.  Exactly when this impairment of sight started, I did not have any consciousness of it. My father took  me to a wayside spectacle seller of those days, who with his  box-full of lenses, tested my eyes and sold a specks fitted with a power which in his judgement was OK or  with what was the available best in his boxes. May be this gentlemen was only a technician, but for me he was a doctor. Initially, with the specks on, things would look glistening velvet- like, but with passage of time my eyes got adjusted to my glass. However, with the passage of time, my specks became a part of my body, silently it became as one additional limb in my system. To some people, having a specks on, gave an intellectual look, and I started enjoying that elevated status  in my close friend circle. I did not have any sense of loss.

Things were moving well without any sense of physical loss, until one day, a downgrader invaded me, my blood pressure began to be high. So far I was used to periodically swallowing one or two entroquinal or saridon tablets to beat the occasional stomach upset or headache or tit-bits like these which never created any major and lasting  problem for me.  Till then the  local pharmacist for all  practical purposes, was my doctor, and I required nothing beyond.

This happiness did not last long, local doctor diagnosed me as suffering from high blood pressure, and prescribed medicine for my daily intake. At that time I was 48 years old, it was the first shock to me that I was no longer a normal healthy person. Henceforth, I would have  to take medicine daily, I could not accept it. This struck me as a disability. I would often be depressed. It took me six months to reconcile to this permanent loss of health. Around this time pathological tests revealed that my cholesterol level was also high, so one more tablet to swallow. My spirit went down further. So, thus far, I had to take daily three tablet—one for blood thinner, one for blood pressure, the third for cholesterol. Till now no major food restriction.

This amount of regular medicine took me through till 63 years of age. At around this time a new kind of disease trying to have its clutch on me. Soon I would not find energy to do my daily work, and would remain exhausted throughout the day. Soon doctor diagnosed me as a diabetic, and put me under further dose of medicine. Now my tally of impairment is high blood pressure, cholesterol, and the fresh addition is diabetic. From now on I started feeling the real loss. Swallowing medicine in correct time daily has become a must, add to this food restriction.  First casualty was rasogolla. Sweeets have been favourite to me from early childhood; with diabetes I had to stop taking sweets altogether. Intake of Chapattis, rice also had to be drastically reduced. All these suddenly made me an old man. During my life I was always a smart young man, with abundant energy, willing to take up any challenges. My energies would be appreciated by one and all. On top of it I was loved by relatives and friends alike. Therefore, my spirits used to be always high, but with diabetes, I started feeling a great loss, an addition of disability. Now a basket of medicine is always my companion, I can ignore food but ignoring medicine I can never think of. Sometimes innocent uncomfortable thoughts, memory of wrong decisions from past life come up which  I cannot get rid of.

I talk to my mind always. I understand nobody has control over one’s body and diseases which afflicts it. I am now 67, there are people at 72, 75 or 89……… they are pulling on well, then why not me? My ancestors lived till ninety years. Such thinking rejuvenates me and helps me to reconcile whenever I am down, then I am filled with energy to start afresh.

I have found reading helps me. I have a habit of reading from Books borrowed from British Library or from online books in the internet. Started listening recorded lectures of OSHO on upanishads. I find OSHO a great charger, he refills me with abundant energy to understand life and the society. I become strong from within. OSHO is a highly misunderstood man, but is the only man who helps me to see the real truth in this stage of life.  I have many other interests in life. I have some knowledge of  PHOTOSHOP. With the knowledge of photo shop I design photos for publishing photos in my blog. I have some knowledge in music technology where I can play with music tracks with various  mixing of tracks. I do not claim that I have professional knowledge in this fields, but still those amateurish knowledge fills me with pleasure.  ALL THESE TO SOME EXTENT COMPENSATES MY LOSS OF LOOKS DUE TO LOSS OF TEETH.